Dewitt, Jason Aaron

Dewitt, Jason Aaron is an individual health care provider with primary practice located at 2204 Scott St , Lafayette IN 47904-2933. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dewitt, Jason Aaron can be contacted via phone (765) 447-0525.

Contact Information

Primary practice address
2204 Scott St Lafayette IN 47904-2933
Phone: (765) 447-0525
Fax: (765) 447-5815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12010545A Indiana

Profile Details

NPI number 1447371984
LBN Legal business name Dewitt, Jason Aaron
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447371984 NPPES
Indiana Other 12010545A DENTAL LICENSE

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